冠心病冠状动脉支架置入术住院死亡33例分析

Retrospective study of 33 deaths of in-patients with percutaneous coronary intervention

目的探讨分析冠状动脉支架置入术治疗中住院死亡病因。方法1994-012004-03对广东省人民医院的3252例冠心病病人,行冠状动脉支架置入术治疗术中及术后33例住院死亡患者作回顾性分析。结果其中4例死于术中,其余29例患者死于术后,主要死亡原因依次为:心源性休克、室颤、急性左心衰、多器官衰竭、心脏破裂、急性肾衰,住院病死率为1·01%。结论冠心病冠状动脉支架置入术死亡主要原因是心源性休克、室颤、急性左心衰等。通过一些措施,可以进一步降低住院患者病死率。

Objective To discuss the reasons of death in the in - patients with pemutaneous coronary intervention （PCI）. Methods Retrospective analysis was done in 33 cases who died in or after the procedures among 3 252 in - patients with PCI. Results 4 patients died in procedures and the others died after procedures. The major reasons of death in order were ： cardiogenic shock, ventrlcular fibrillation, acute left heart failure, multiple organ failure, heart rupture and acute renal failure. The in - hospital mortality rate was 1.01%. Conclusion The major reasons of death of patients with PCI are cardiogenic shock, ventricular fibrillation and acute left heart failure. Taking some measures will reduce the inhospital mortality rate.